VETC 241/247

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VETC 241/247
2012-09-25 18:53:47
Surgical Nursing Radiography treatment

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  1. 4 more invasive methods of restraint
    • 1. mouth gag
    • 2. muzzle
    • 3. rabies pole
    • 4. chemical restraint
  2. what are the cons of using rubber gloves during a PE
    • The client may be offended and nervous.
    • The patient will get nervous by the unusual sight and smell of the gloves.
  3. what is the order of which you will check for Temperature and weight
    Check Weight and then check Temperature... LAST!
  4. What is the healthy range for Temp in a DOG
    100-102.2 F
  5. What is the healthy range for Heart Rate in a DOG
    60-160 BPM
  6. What is the healthy range in Respiratory Rate in DOG
    16-132 Breaths PM
  7. What is the healthy range for Temp in a CAT
    100-102.5 F
  8. What is the healthy range for Heart Rate in a CAT
    140-220 BPM
  9. What is the healthy range for Respiratory Rate in CATS
    20-42 Breaths PM
  10. what is a lamp with violet light that supposedly identifies Ringworm
  11. Instrument used to examine the Eye
  12. Instrument used to examine the Ear
  13. What does the Acronym BARH mean
    Bright Alert Responsive Hydrated
  14. What does the Acronym MM p/m mean
    Mucous Membranes are Pink and Moist
  15. What does the Acronym CRT mean
    Capillary Refill Time
  16. Explain Cyanotic MM 
    Pale blue Mucous membranes means low Oin the blood
  17. What are the causes for Cynotic MM
    Anemia or Shock
  18. Explain Icteric MM
    Yellow mucous membranes means Jaundice (Liver Dz) or Hemolytic Anemia
  19. What does the Acronym HEENT mean
    Head, Eyes, Ears, Nose, Throat
  20. Define: Discharge
     1. Serous
     2. Mucoid
     3. Purulent
    •  1. Serous- Thin
    • 2. Mucoid -Thick
    • 3. Purulent- containing Pus
  21. Define Erythema
  22. What may be the cause for perfectly round Aloepecia
  23. What is the way we test for Ringworm and why
    Pluck hairs surrounding Aloepecia

    The Dermatocyte (fungus) lives within the hair follicle
  24. How do you check for Thyroid Slip
    slide fingers along the trachea pass where the Thyroid will be. if you feel a slip the thyroid has enlarged
  25. What Lymph nodes do we check during a PE in CATS
    • 1. Submandibular
    • 2. Prescapular
    • 3. Popliteal
  26. What Lymph nodes do we check during a PE in DOGS
    • 1. Submandibular
    • 2. Prescapular
    • 3. Popliteal
    • 4. Axillary
  27. Name the 3 types of Stethoscopes available to us
    • 1. Dual Teaching 
    • 2. Esophageal
    • 3. Digital/ "Electronic"
    • 4. Sprague-Rappaport
  28. What does the acronym PMI mean
    Point of Maximum Intensity, where the sound can be heard loudest
  29. Auscultation of the left Base of the heart
    Aortic and Pulmonary valves (highest valves) are heard
  30. Auscultation of the Right Apex of the heart
    Mitral valve (left/oxygenated) is heard
  31. Auscultation of the sternum/ middle of the heart
    Tricuspid valve is heard
  32. Where would you hear a Ventricle Septum Defect
    Where Tricuspid valve is heard
  33. What is a Ventricle Septum Defect
    Hole in septum between the ventricles
  34. heart flow issue heard in heart upon heart beats
    Heart murmur
  35. Fluid accumulation heard in heard
    Muffled Heart sounds
  36. A condition in which a artery pulses independently from the heart beat. What is the cause of this?
    Pulse deficient, caused by a block somewhere
  37. Murmur or swooshy sound between the 1st and 2nd Heart Beats

    1 * 2..... 1 * 2..... 1 * 2..... 
    * = swoosh sound (murmur)
    Systolic heart murmur
  38. Which artery do we palpate to check for pulse deficient in DOGS and CATS
    Femoral artery
  39. Which artery do we palpate to check for pulse deficient in HORSES
    Submandibular artery
  40. Which animal has 3 heart beats normally
  41. How many sites do you need to auscultate for Respiratory sounds?
    4 sites: Dorsal Cranial, Ventral Cranial, Dorsal Caudal, Ventral Caudal. 
  42. High pitch respiratory sounds
  43. Wheezing is upper respiratory tract
    Referred sound
  44. Low pitch respiratory sounds
  45. Collapsed lung
  46. How do you know if a patient is putting is Respiratory Effort
    Intercostals are doing too much work to aid in breathing
  47. What does  -omegaly mean
    organ enlargement
  48. growling sounds in abdomen
  49. Patient seems physically tense during PE
    May simply mean the patient is tense from stress or that there is some omegaly. It can even mean Ileus. 
  50. Ileus
    Ceased intestinal motility
  51. Name Musculoskeletal tests we do during a PE
    • 1. Proprioceptive placement of limbs
    • 2. check for Crepitus by moving all joints
    • 3. Wheelbarrowing
    • 4. use of a Plexor for reflexes
    • 5. Nystagmus test 
  52. What does the acronym CWD mean
    Chronic Wasting Dz, a prion-causing dz of ungulates.
  53. Scale of BCS
    1-5 or 1-9, depends on your clinic
  54. What does the acronym BCS mean
    Body condition score
  55. Being extremely under weight
  56. Define: Integument
     1. Seborrhea
     2. Epilated
    •  1. Seborrhea is greasy
    •  2. Epillated is shedding beyond normal
  57. distended stomach in puppies and kittens
    diagnosis of parasites usually
  58. Honking cough signifies
    collapsing Trachea
  59. Pruritis on neck and base of tail signifies
    flea infestation
  60. Pebbly skin development on limbs may signify
    Lick Granuloma, caused by excessive licking due to fleas, allergies, or stress 
  61. Foul odor of the mouth signifies
    Hallitosis, a dz of the gums and teeth
  62. Icterus signifies
    Jaundice (liver dz) or Hemolytic Anemia
  63. having immobility
  64. What circling may signify
    ear infection
  65. Nystagmus Test: 
    Positive and Negative
    Menace Positive is a good result

    Menace Negative is a bad result
  66. Blood withdrawal sites in the DOG
    • 1. Cephalic
    • 2. Jugular
    • 3. Saphenous
  67. Blood withdrawal sites in the CAT
    • 1. Saphenous
    • 2. Jugular
    • 3. Cephalic
  68. Blood withdrawal sites in the FERRET
    • 1. Jugular
    • 2. Saphenous
  69. Blood withdrawal sites in the AVIAN
    1. Jugular
  70. Where do you NEVER vaccinate a patient
    • Scruff of neck, just in case of reaction
    • or in back of hind limb, just in case you hit sciatic nerve
  71. 4 rules when dealing with surgical instrument in the OR



  72. What extra measures do we take when taking organs out of the body during surgery (that will be put back in after surgery)

    what is it called when we take organs out of the body temporarily
    keep organs moistened in a sterile towel

    exteriorizing organs
  73. What extra measures do we take when we use the Laser during surgery
    put a thick layer of saline soaked gauzes over the patients eyes
  74. name a narrow type that goes into something else
  75. An instrument that clamps things down 
  76. An instrument that closes vessels 
  77. Surgical instruments: 
    1. which is good for holding 
    2. which is good for rough tissue
    3. which is good for grasping
    • 1. Locking instruments
    • 2. Serrated instruments
    • 3. Thumb instruments

  78. 1. Name
    2. Use
    • Thumb forceps for 
    • Suturing

  79. 1. Name
    2. Use
    3. Unique physical attributes
    • 1. Halstead Mosquito Forceps
    • 2. may hold fragile tissue without crushing 
    • 3. Horizontal grooves along entire head.

  80. 1. Name
    2. Unique physical attributes
    • 1. Kelly Forceps
    • 2. Horizontal grooves along half the length of the head

  81. 1. Name
    2. Unique physical attributes
    • 1. Russian Thumb Forceps
    • 2. Serrated circular teeth at the head of the forceps

  82. 1. Name
    2. Unique physical attributes
    • 1. Adson-Brown forceps
    • 2. One tooth at the end of the head of the forceps

  83. 1. Name
    2. Use
    3. Unique physical attributes
    • 1. Allis, or Babcock forceps
    • 2. holds something in place without crushing it
    • 3. spatula-like arms at the head of the forceps

  84. 1. Name
    2. Unique physical attributes
    • 1. Doyenne/ Rochester Carmalt forceps
    • 2. verticle grooves the entire length of head
    •     or horizontal grooves

  85. 1. Name
    2. Use
    3. Unique physical attributes
    • 1. Olsen-Hegar Needle Holder forceps
    • 2. Suturing
    • 3. wide grooves on blunt head with internal scissors to cut sutures

  86. 1. Name
    2. Use
    • 1. Rongeur Pliers
    • 2. for extracting teeth

  87. 1. Name
    2. Use
    • 1. Snook Hook
    • 2. Used to pull ureters with oviducts in spays so oviducts can be isolated and removed. Used in neuters aswell. 

  88. 1. Name
    2. Use
    • 1. Backhaus Towel Clamp
    • 2. holds sterile towels in place to patients skin

  89. 1. Name
    2. Use
    3. Unique physical attributes
    • 1. Weitlaner or Gelpi Retractor (order of photos)
    • 2. holds open tissue for surgical procedures
    • 3. Weitlaner: has a low thumb locking mechanism
    •      Gelpi: has a high thumb locking mechanism

  90. 1. Names
    2. Uses
    • 1. A: Metzenbaum Scissors, B: Mayo Scissors
    • 2. Metzenbaum scissors (A) are used for more delicate tissue. Mayo scissors (B) are used for cutting heavy fascia and sutures. 

  91. 1. Name
    2. Unique physical attributes
    • 1. Suture Scissors
    • 2. Half moon curve at the head of the scissors

  92. 1. Name
    2. Use
    3. Unique physical attributes
    • 1. Bandage Scissors
    • 2. cuts bandages off without poking holes through skin
    • 3. Blunt head on one arm of scissors

  93. 1. Name
    2. Use
    • 1. Mayo stand
    • 2. Holds surgical intruments for surgeon

  94. 1. Name
    1. Kidney pan
  95. catheters
  96. purse string suture
  97. horizontal mattress suture
  98. Linear interrupted
  99. what does the acronym OHE mean
  100. to spay or neuter is otherwise known as 
    to Alter
  101. to remove testes/ neuter
  102. birth process complications caused by dz or trauma
  103. to collapse outwards
  104. to declaw
  105. an incision to the abdomen
  106. List 10 instrument in spay pack:
    • 1. Mayo scissors                  6. Snook Hook
    • 2. Olsen-Hegar forceps        7. Scalpel
    • 3. Backhaus forceps             8. Straight Halstead Mosquito forceps
    • 4. Straight Kelly forceps       9. Curved Halstead Mosquito forceps
    • 5. Curved Kelly forceps       10. Adson-Brown Forceps
  107. Name sundries
    • 1. Fenestrated Drapes
    • 2. Gauze
    • 3. Bowl and bottle of sterile saline
    • 4. suture materials
  108. Sterilization solutions
    • "Nolvasan" (chlorhexidine solution)
    • Benodine
  109. celiotomy
    removal of celiac artery
  110. when is C-section recommended
    • when mother is pregnant for longer than 70 days
    • when its been an hour between births
  111. why we encourage puppies to suckle mothers milk 
    • suckling stimulates prolactin
    • Prolactin stimulates expulsion of placenta
  112. ligating pampiniform plexus and vas deferens separately
    open orchiectomy
  113. ligating the whole bundle including the tunic
    closed orchiectomy
  114. Causes of rectal prolapse
    • 1. tenesmus
    • 2. parasites
    • 3. enteritis
    • 4. foreign bodies/ urethral construction
    • 5. prostatic hyperplasia
  115. Causes of vaginal prolapse
    • 1. dystocia
    • 2. hyperplastic conditions
  116. treatment of choice for prolapse
    manual reduction
  117. procedure of closing off or minimizing the opening to the vagina
    caslick procedure
  118. removal of P3 (last digit of paw)
  119. what is a a digital clamp
    holds P3 for onychectomy
  120. head shaking for some breeds causes vessel breakage 
    also called cauliflower syndrome
    aural hematoma
  121. which method do we use to dehorn today
  122. -ectomy means
    removal of 
  123. -otomy
    make hole in
  124. when stomach spins on its axis and fills with air
    also known as popeyes arm
    Gastric Dilation Vulus
  125. why does Spleenectomy usually accompanies GDV 
    Damage to splenic vessels often occurs

  126. 1. Name
    2. Use
    1. Bone curette scoops bone marrow

  127. 1. Name
    2. Use
    • 1. Periosteal elevator
    • 2. peals periosteum from bone
  128. Abx in orthropedic surgery??
  129. fractures which can be fixed without opening body
    closed reduction
  130. fractures which must be opened in order to fix
    open reduction

  131. pins and rods inserted at specific angles anchored ouside the body in which pressure and angles can be changed
    external fixator
  132. Twist ties with plate, screws, and cerclage wire
  133. Intermedullary pin fixes horizontal fractures
  134. 3 ways to fix hip dysplasia:
    • 1. FHO
    • 2. TPO
    • 3. THR
  135. what is FHO?
    Femoral Head Osteotomy, knock off head of femur in young animals only. The body will heal around in tightly. 
  136. what is TPO?
    Triple Pelvic Osteotomy, making fractures and repositioning the isheum so angle of the acetabulum fits.
  137. what is THR?
    • Total Hip Replacement
  138. 3 ways to fix patellar luxation or subluxation
    • 1. Anti-rotational sutures
    • 2. Trochleoplasty
    • 3. Tibial Transportation
  139. What is the mechanism behind Anti-rotational sutures
    sutures the patella back into position
  140. what  is trochleoplasty
    reshapes trochlea to fit
  141. what is Tibial transportation
    to cut and reshape proximal tibia so patella can not move out of position
  142. what does CCL mean
    Cranial cruciate ligament
  143. what does CdCL mean
    Caudal cruciate ligament
  144. what does TPLO mean
    Tibial Plator Leveling Osteotomy, cutting part of tibia without touching the ligament. This will cause femore to slide foward.
  145. what is Tibial tubercle advancement 
    separates parts of tibia so femor fits. 
  146. Ventral slot
    must go ventrally to fix displaced disc.